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A Phase 2 Study of SP-02L in Patients With Relapsed or Refractory Peripheral T-cell Lymphoma (PTCL)

Asian Multinational Phase 2 Study of SP-02L (Darinaparsin for Injection) in Patients With Relapsed or Refractory Peripheral T-cell Lymphoma (PTCL)

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02653976
Enrollment
67
Registered
2016-01-13
Start date
2016-03-25
Completion date
2021-06-17
Last updated
2024-01-26

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Peripheral T-Cell Lymphoma

Brief summary

This study is a phase 2 multinational, multicenter, single-arm, open-label, non-randomized study to evaluate the efficacy and safety of SP-02L monotherapy in relapsed or refractory patients with peripheral T-cell lymphoma.

Interventions

Darinaparsin 300 mg/m2 once daily for 5 consecutive days every 21 days

Sponsors

Solasia Pharma K.K.
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
20 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Patients with a Japanese, Korean, Taiwanese, or Chinese ethnic background of each country/region * Patients aged ≥20 years on the date of informed consent * Patients with histologically confirmed diagnosis of one of the following: * Peripheral T-cell lymphoma not otherwise specified (PTCL-NOS) * Angioimmunoblastic T-cell Lymphoma (AITL) * Anaplastic large cell lymphoma (ALCL), (ALK-positive/negative) * Relapsed or refractory patients with a treatment history of at least one regimen with antitumor agents for the above disease * Have at least 1 measurable lesion * Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2 * Patients with a life expectancy of at least 3 months as determined by the investigator

Design outcomes

Primary

MeasureTime frameDescription
Tumor Response (Central Assessment)Central assessments of tumor response were performed every 3 cycles, and/or at the end of treatment visit, during 6-cycle treatment period. The best response was determined during 6-cycle treatment period. Maximum duration of assessments was 5.3 months.Central assessments of tumor response were performed by the Efficacy and Safety review Committee according to the Revised Response Criteria for Malignant Lymphoma developed in 2007 based on computed tomography (CT) and fluorodeoxyglucose-positron emission tomography (FDG-PET) findings. Overall Response Rate was defined as the percentage of participants who achieved Complete Response (CR, disappearance of all evidence of disease) or Partial Response (PR, regression of measurable disease and no new sites) as their best response. Disease Control Rate is defined as the percentage of participants who achieved CR, PR or Stable Disease (SD) as their best response.

Secondary

MeasureTime frameDescription
Tumor Response (Local Assessment)Local assessments of tumor response were performed at the end of every 3 cycles, and/or at the end of treatment visit. The best response was determined during the entire treatment period. Maximum duration of assessments was 42.4 months.Local assessments of tumor response were performed by individual site investigators according to the Revised Response Criteria for Malignant Lymphoma developed in 2007 based on CT and FDG-PET findings. Overall Response Rate was defined as the percentage of participants who achieved CR (disappearance of all evidence of disease) or PR (regression of measurable disease and no new sites) as their best response. Disease Control Rate is defined as the percentage of participants who achieved CR, PR or SD as their best response.
Progression-Free SurvivalTumor response was assessed at the end of every 3 cycles until documented PD. Maximum duration as of the cut-off date for data lock was 42.4 months.Progression-Free Survival was the duration of time from the first day of study drug administration to the date of Progressive Disease (PD) based on local assessment or the date of death from any cause, which occurs earlier. PD was defined using the Revised Response Criteria for Malignant Lymphoma developed in 2007, as any new lesion or increase by ≥ 50% of previously involved sites from nadir.
Overall SurvivalSurvival follow-up was performed for 2 years from the date of first dosing of study drug. Maximum duration was 24.9 months.Overall Survival was the duration of time from the first day of study drug administration to the date of death from any cause.
Number of Participants With Adverse Events (AEs)From the date of first dosing of study drug to the completion of all follow-up procedures. Maximum duration was 42.4 months.AE was defined as any untoward medical occurrence in a participant administered the study drug. AE included clinically significant changes in laboratory values, vital signs, and electrocardiograms. Drug-related AE was defined as AE that there was at least a reasonable possibility to have the causal relationship to the study drug. The severity of AE was evaluated by the investigator according to Common Terminology Criteria for Adverse Events (Version 4.0) where Grade 1 (mild), Grade 2 (moderate), Grade 3 (severe or medically significant but not immediately life-threatening), Grade 4 (life-threatening consequences) and Grade 5 (death related to AE).

Countries

Hong Kong, Japan, South Korea, Taiwan

Participant flow

Recruitment details

Patients were recruited in Japan, Korea, Taiwan and Hong Kong during the period from March 25, 2016 to September 17, 2019.

Pre-assignment details

67 patients were enrolled and 65 were treated.

Participants by arm

ArmCount
SP-02L (Darinaparsin for Injection)
SP-02L (darinaparsin for injection): Darinaparsin 300 mg/m2 once daily for 5 consecutive days every 21 days
65
Total65

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyDeath4
Overall StudyWithdrawal by Subject5

Baseline characteristics

CharacteristicSP-02L (Darinaparsin for Injection)
Age, Continuous68.0 years
Histopathological Diagnosis
Anaplastic large cell lymphoma, ALK-negative
3 Participants
Histopathological Diagnosis
Anaplastic large cell lymphoma, ALK-positive
0 Participants
Histopathological Diagnosis
Angioimmunoblastic T-cell Lymphoma
17 Participants
Histopathological Diagnosis
Other
2 Participants
Histopathological Diagnosis
Peripheral T-cell lymphoma not otherwise specified
43 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
Race (NIH/OMB)
Asian
65 Participants
Race (NIH/OMB)
Black or African American
0 Participants
Race (NIH/OMB)
More than one race
0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
Race (NIH/OMB)
White
0 Participants
Region of Enrollment
Hong Kong
1 Participants
Region of Enrollment
Japan
37 Participants
Region of Enrollment
South Korea
19 Participants
Region of Enrollment
Taiwan
8 Participants
Sex: Female, Male
Female
20 Participants
Sex: Female, Male
Male
45 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
6 / 65
other
Total, other adverse events
64 / 65
serious
Total, serious adverse events
30 / 65

Outcome results

Primary

Tumor Response (Central Assessment)

Central assessments of tumor response were performed by the Efficacy and Safety review Committee according to the Revised Response Criteria for Malignant Lymphoma developed in 2007 based on computed tomography (CT) and fluorodeoxyglucose-positron emission tomography (FDG-PET) findings. Overall Response Rate was defined as the percentage of participants who achieved Complete Response (CR, disappearance of all evidence of disease) or Partial Response (PR, regression of measurable disease and no new sites) as their best response. Disease Control Rate is defined as the percentage of participants who achieved CR, PR or Stable Disease (SD) as their best response.

Time frame: Central assessments of tumor response were performed every 3 cycles, and/or at the end of treatment visit, during 6-cycle treatment period. The best response was determined during 6-cycle treatment period. Maximum duration of assessments was 5.3 months.

Population: Efficacy analysis set included patients who fulfilled eligibility criteria and who took a tumor response assessment at least one time after the administration of SP-02L (darinaparsin for injection).

ArmMeasureGroupValue (NUMBER)
SP-02L (Darinaparsin for Injection)Tumor Response (Central Assessment)Overall Response Rate19.3 percentage of participants
SP-02L (Darinaparsin for Injection)Tumor Response (Central Assessment)Disease Control Rate45.6 percentage of participants
Secondary

Number of Participants With Adverse Events (AEs)

AE was defined as any untoward medical occurrence in a participant administered the study drug. AE included clinically significant changes in laboratory values, vital signs, and electrocardiograms. Drug-related AE was defined as AE that there was at least a reasonable possibility to have the causal relationship to the study drug. The severity of AE was evaluated by the investigator according to Common Terminology Criteria for Adverse Events (Version 4.0) where Grade 1 (mild), Grade 2 (moderate), Grade 3 (severe or medically significant but not immediately life-threatening), Grade 4 (life-threatening consequences) and Grade 5 (death related to AE).

Time frame: From the date of first dosing of study drug to the completion of all follow-up procedures. Maximum duration was 42.4 months.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
SP-02L (Darinaparsin for Injection)Number of Participants With Adverse Events (AEs)AE64 Participants
SP-02L (Darinaparsin for Injection)Number of Participants With Adverse Events (AEs)Drug-related AE45 Participants
SP-02L (Darinaparsin for Injection)Number of Participants With Adverse Events (AEs)Grade ≥3 AE41 Participants
SP-02L (Darinaparsin for Injection)Number of Participants With Adverse Events (AEs)Grade ≥3 Drug-related AE19 Participants
Secondary

Overall Survival

Overall Survival was the duration of time from the first day of study drug administration to the date of death from any cause.

Time frame: Survival follow-up was performed for 2 years from the date of first dosing of study drug. Maximum duration was 24.9 months.

Population: Efficacy analysis set included patients who fulfilled eligibility criteria and who took a tumor response assessment at least one time after the administration of SP-02L (darinaparsin for injection).

ArmMeasureValue (MEDIAN)
SP-02L (Darinaparsin for Injection)Overall Survival17.4 months
Secondary

Progression-Free Survival

Progression-Free Survival was the duration of time from the first day of study drug administration to the date of Progressive Disease (PD) based on local assessment or the date of death from any cause, which occurs earlier. PD was defined using the Revised Response Criteria for Malignant Lymphoma developed in 2007, as any new lesion or increase by ≥ 50% of previously involved sites from nadir.

Time frame: Tumor response was assessed at the end of every 3 cycles until documented PD. Maximum duration as of the cut-off date for data lock was 42.4 months.

Population: Efficacy analysis set included patients who fulfilled eligibility criteria and who took a tumor response assessment at least one time after the administration of SP-02L (darinaparsin for injection).

ArmMeasureValue (MEDIAN)
SP-02L (Darinaparsin for Injection)Progression-Free Survival3.3 months
Secondary

Tumor Response (Local Assessment)

Local assessments of tumor response were performed by individual site investigators according to the Revised Response Criteria for Malignant Lymphoma developed in 2007 based on CT and FDG-PET findings. Overall Response Rate was defined as the percentage of participants who achieved CR (disappearance of all evidence of disease) or PR (regression of measurable disease and no new sites) as their best response. Disease Control Rate is defined as the percentage of participants who achieved CR, PR or SD as their best response.

Time frame: Local assessments of tumor response were performed at the end of every 3 cycles, and/or at the end of treatment visit. The best response was determined during the entire treatment period. Maximum duration of assessments was 42.4 months.

Population: Efficacy analysis set included patients who fulfilled eligibility criteria and who took a tumor response assessment at least one time after the administration of SP-02L (darinaparsin for injection).

ArmMeasureGroupValue (NUMBER)
SP-02L (Darinaparsin for Injection)Tumor Response (Local Assessment)Overall Response Rate26.3 percentage of participants
SP-02L (Darinaparsin for Injection)Tumor Response (Local Assessment)Disease Control Rate54.4 percentage of participants

Source: ClinicalTrials.gov · Data processed: Feb 10, 2026